Individual provider Active NPI

Whitney Justine Lipp, M.S., OTR/L

  • Occupational Therapist
  • Canandaigua, NY
National Provider Identifier
1770006074
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
021566-1 Issued in NY
Practice address
5415 County Road 30
Canandaigua, NY 14424-7964
Phone
(585) 394-9510
Fax
(585) 394-5326
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 021566-1 NY Primary

Addresses

Primary practice location

5415 County Road 30
Canandaigua, NY 14424-7964

Mailing address

5415 County Road 30
Canandaigua, NY 14424-7964
Phone (585) 394-9510

Other practice location 1

731 Pre Emption Rd
Geneva, NY 14456-1335
Phone (315) 789-6828

Other names 1

  • Whitney Justine Pisano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009002139 NY Practitioner - Occupational Therapist in Private Practice 5799016515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finger Lakes United Cerebral Palsy, Inc.Group PAC ID 0446309660, 17 clinicians

Practice addresses (Care Compare)

3399 Winton Rd S
Rochester, NY 14623-3057
Phone (585) 334-6000

5415 County Rd
Suite 30
Canandaigua, NY 14424-7964
Phone (585) 394-9510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021566NYMDClinical Psychologist
021566-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes United Cerebral Palsy, Inc. CurrentSince Sep 6, 2019 Accepting new patients
United Cerebral Palsy Association of the Rochester Area, Inc. CurrentSince Nov 7, 2024 Accepting new patients

Locations

5415 N Bloomfield Rd
Canandaigua, NY 14424
Phone (585) 394-1190

1065 Lochland Rd
Geneva, NY 14456
Phone (315) 789-5208

731 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-6828

3399 Winton Rd S
Rochester, NY 14623

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1770006074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 COUNTY ROAD 30",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247964",
            "telephone_number": "585-394-9510",
            "fax_number": "585-394-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 COUNTY ROAD 30",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247964",
            "telephone_number": "585-394-9510",
            "fax_number": "585-394-5326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144561335",
            "country_code": "US",
            "telephone_number": "315-789-6828",
            "fax_number": "315-789-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPP",
        "first_name": "WHITNEY",
        "middle_name": "JUSTINE",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021566-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "PISANO",
            "middle_name": "JUSTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.